Cedar Gate Technologies provides comprehensive bundled payment management services designed to help healthcare organizations transition to value-based care models. Their services include designing and optimizing prospective bundles, recruiting network providers, negotiating contracts, and managing day-to-day operations to align financial and clinical goals.

Key Features

Bundles Design and Optimization

• Customized bundles configuration based on regional data and contracts.
• Standard bundles definition available.
• Optimization of bundles over time using data insights.

Network Provider Management

• Finding, recruiting, negotiating, and credentialing network providers.
• Building high-performing networks for bundled payment models.

Contract Negotiation

• Establishing Value-Based Care (VBC) agreements with payers or self-funded employers.
• Negotiation of prospective bundled payment contracts.

Data Analytics

• Integration of diverse data sources into a unified data lake.
• Data cleansing, normalization, and enrichment for high-quality insights.
• Access to experienced data scientists and actuaries for performance insights.

Operational Management

• Day-to-day operation of bundles programs.
• Ensuring accurate and timely accounts receivable processes and payments.

Benefits

Enhanced Financial Efficiency

• Reduced costs through optimized bundles and efficient payment processes.
• Improved financial outcomes aligned with clinical goals.

Improved Care Quality

• Value-based care models focus on quality care while reducing costs.
• Customized bundles ensure care quality is maintained or improved.

Simplified Operations

• Outsourcing day-to-day operations reduces administrative burden.
• Modular technology integrates easily with existing systems.